Registered Nurse – Cardiac Stepdown (ED Holding/CICU)
Manchester, NH
ADEX Healthcare Staffing LLC
3x12 hrs, Days
Referral Bonus
$2,076/weekOverview
- Start Date02/09/2026
- Shift Breakdown3x12 hrs
- ShiftDays
- Duration13 weeks
- Facility InformationShort Term Acute Care236 beds
- SettingHospital
Pay
Benefits
- Referral bonus
Qualifications
- Bachelor of Science, Bachelor of Science in Nursing or Associate of Science in Nursing
Description
Opportunity:
RN - Stepdown
Job Details:
• Contracted to ED unit specifically to care for inpatient/CICU Level holds in Emergency Department
• 2 years of experience required with strong PCU background within the last year
• ED experience preferred but not required
• First-time travelers accepted with EPIC experience and 2 years experience
• Every other weekend requirement
• Required certifications: ACLS, BCLS, EKG test on arrival
• Patient ratio experience of 4:1
• Must have experience managing and titrating drips including Lasix, Heparin, Cardizem, Amiodarone, Nitroglycerin, Integrillin, Labetalol, Dopamine, and Dobutamine
• Care for patients with chest pain, syncope, heart failure, sepsis, overdose, GI bleed, COPD, pneumonia, and overflow medical, surgical, trauma, oncology, and orthopedic patients
• Manage patients post-catheterization with stent, ICD/pacer insertions, and cardioversions
• Work with specialized equipment including BiPAP, CPAP, Vapotherm, Alaris pumps, and Phillips monitoring systems
• Epic charting experience preferred
• New Hampshire state license required
• Drug screen must be completed within 14 days of start date
• Flu vaccine required with medical/religious exemptions only
Facility:
This healthcare facility operates a specialized emergency department with dedicated stepdown capabilities for inpatient and CICU level holds. The facility provides comprehensive interdisciplinary support including IV teams, physical therapy, respiratory services, interpretation services, phlebotomy, radiology, social services, rapid response teams, pharmacy, transportation, and unit secretary services. The organization maintains high standards for cardiac and critical care with advanced monitoring systems and specialized equipment to support complex patient needs.
Location:
Manchester, NH
Manchester offers the perfect blend of urban amenities and New England charm, serving as the state's largest city while maintaining a welcoming community atmosphere. The area provides excellent outdoor recreation opportunities with proximity to both mountains and seacoast, making it an ideal location for healthcare professionals seeking career growth in a vibrant, accessible location.
Facility
Elliot Hospital
4 nurses recommend working with Elliot Hospital
Pros
Unit was traveler friendly.
Cons
No schedule flexibility, 6:1 patient ratio on a daily basis.

- Short Term Acute Care
- 236 beds
Employer
ADEX Healthcare Staffing LLC
2 nurses recommend working with ADEX Healthcare Staffing LLC
Pros
I am an Adult Cardiac Sonographer and I have been traveling for almost 3 years now and pretty much all the time with ADEX Healthcare staffing. I always look around for all the options as most of travelers do, but end up with this company, because They don’t fail me! Good competitive rates and always attention. Vincent Poast is the guy you want to deal with no matter what is your experience in traveling and profession. He always explains all pros and cons of a contract. I feel like he is on my side compared to other recruiters. The most important part for me that he always answers my calls and texts no matter if it’s a weekend or after hours! Also, if he can’t help me directly, he would get a ADEX staff member who resolves an issue right the way. The whole team has been very helpful for almost 6 contracts now. Oh, and another very important thing for me that Vince never pushes to get into a contract and bothers like a lot of other recruiters that calling and texting day and night. He lets you decide what you really want !
Cons
None
Recommends working with ADEX Healthcare Staffing LLC
16 nurses found this helpful
About Manchester, NH
As a Travel Cardiac Stepdown Nurse in Manchester, NH here's what you should know:- Slightly higher than the national average, but wages generally match up with the cost of living.
- Average summer highs of 80-85°F and winter lows of 15-20°F.
- Short term rentals are available and relatively easy to find, especially in the downtown area.
- Car friendly city with limited public transportation options.
- Diverse population with a wide age range.
- Common health issues include allergies and respiratory conditions.
- Manchester has a growing population of travel nurses.
- Plenty of restaurants, art galleries, live music venues, sports facilities, and outdoor activities such as hiking and skiing in nearby mountains.
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